title: [Psychosomatic and psychotherapeutic outpatient care in Germany - Capacity profile based on data from the National Association of Statutory Health Insurance Physicians].
abstract: OBJECTIVE
  At the centre of the study lay a representation of outpatient psychosomatic and psychotherapeutic care with a focus on different groups of medical and psychological therapists.
  
  
  METHODS
  The routine data of the National Association of Statutory Health Insurance Physicians (KBV) from the year 2008 were analyzed based on a systematic literature review (Medline, ISI, to November 2010).
  
  
  RESULTS
  Neurologists and psychiatrists see the most patients (n = 3,172 vs n = 1,347 cases per practice), but they rarely provide services according to the directives for psychotherapy (4,4 %). However, specialists for psychosomatic medicine and psychotherapy (65 %), physicians providing only psychotherapy (66 %) and psychological psychotherapists (73 %) provide care mainly according to the directives for psychotherapy and therefore see fewer patients (170-190 cases per practice).Medical psychotherapists work more often on a psychodynamic basis, while psychological psychotherapists perform more often behavioral therapy.
  
  
  CONCLUSIONS
  The treatment of patients with mental and psychosomatic disorders is based on three columns of care, which differ in their supply profile and each make a specific contribution to the treatment.
authors.affiliation: Prof. Dr. med. Johannes Kruse, Klinik für Psychosomatik und Psychotherapie, Justus-Liebig-Universität Gießen, Friedrichstraße 33, 35392 Gießen, E-Mail: Johannes.Kruse@psycho.med.uni-giessen.de.
authors.forename: Johannes
authors.initials: J
authors.lastname: Kruse
authors.forename: Astrid
authors.initials: A
authors.lastname: Larisch
authors.forename: Mareike
authors.initials: M
authors.lastname: Hofmann
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Herzog
mesh_terms: D000553:Ambulatory Care; D003430:Cross-Sectional Studies; D005858:Germany; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006302:Health Services Research / Q000706:statistics & numerical data; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D009313:National Health Programs / Q000706:statistics & numerical data*; D009462:Neurology; D011570:Psychiatry; D011575:Psychoanalytic Therapy; D011602:Psychophysiologic Disorders / Q000453:epidemiology* / Q000628:therapy*; D011611:Psychosomatic Medicine; D011613:Psychotherapy; D000078329:Workforce